Individual
MICHAEL R. NOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5300 UNIVERSITY HILLS BLVD, DALLAS, TX 75241-1219
(214) 941-3500
(214) 389-1084
Mailing address
9304 FOREST LN STE 161N, DALLAS, TX 75243-6238
(214) 342-5800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H0695
TX
2084P0802X
Addiction Psychiatry Physician
H0695
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132292709
—
TX
05
—
132292710
—
TX
05
—
132292712
—
TX
05
—
132292713
—
TX
01
—
8K4031
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/12/2006
Last updated
10/23/2023
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